Organization
EXCEPTIONAL HEALTHCARE VA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GANIYAT FUNMILAYO EFUNTOYE (PRESIDENT)
(240) 357-8763
Entity
Organization
Contact information
Practice address
3941 FANCY GAP HWY, HILLSVILLE, VA 24343-3826
(240) 357-8763
Mailing address
6475 NEW HAMPSHIRE AVE STE 315, HYATTSVILLE, MD 20783-3282
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
311ZA0620X
Adult Care Home Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
332U00000X
Home Delivered Meals
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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